Intake Form

One of the key benefits of Private sessions is that it offers you the opportunity to work with your instructor to build a personalized program that addresses your goals and meets the needs of your body. Help us to understand you by taking a few minutes to complete the following questionnaire.

Name:

Email:

Birth Date:

Gender:

Have you practiced Pilates before? If yes, how long ago? And what type of Pilates did you do?

What other sports or physical activities do you participate in or practice?

Please tell us about your fitness and wellness goals.

Please tell us about any injuries, surgeries, or physical challenges you have. Has your doctor or physical therapist recommended a Pilates regime?

Do you have any allergies that are relevant to practicing Pilates (eg. Allergy to rubber, latex, etc)

Tell us about your schedule: How many times per week can you practice? Do you prefer mornings, afternoons, or evenings? Are you interested in only Privates, or a mix of Privates and group fitness?

How did you hear about us?

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